AGM 2010

 ROUND TABLE MOROCCO

LOGO-TABLE RONDE.GIF (5467 octets)
REGISTRATION FORM
 

PARTICIPANT

First Name

:

Lastname   

:

PARTNER     

:

Address          

:

Phone

:

Fax

:

 Email            

:


TABLE - ASSOCIATION DETAILS

 

ASSOCIATION NAME/NUMBER :  

POSITION IN ASSOCIATION :


 

FLIGHT INFORMATION
 

ARRIVAL DATE & TIME:

DEPARTURE DATE & TIME:

ARRIVAL FLIGHT NUMBER:

DEPARTURE FLIGHT NUMBER:


REGISTRATION AND HOTEL ACCOMMODATION


 

BEFORE April 1st     
290€/Pax for registration before  April 1st 

1 x 290

Partner

x 290

 

TOTAL


 

AFTER April 1st     
320 €/Pax for registration after  April 1st 

1 x 320

Partner

x 320

 

TOTAL

 

 

Préférences for accomodation

 

Homehosting (first in, first served !)      

Hotel                                                   

PAYMENT

Please wire transference to :

 ACCOMPT NUMBER: AGM TRM

BANK: Crédit du Maroc – Casablanca
RIB: 021 780 0000 2300 1501 3396 58